Paul W. Armstrong, MD FRCPC

Paul Armstrong is University Professor of Medicine (Cardiology) and Director of the Canadian VIGOUR Centre (Virtual Coordinating Centre for Global Collaborative Cardiovascular Research).

Dr. Armstrong’s investigative career has developed around congestive heart failure and acute coronary syndromes. He frequently serves as visiting professor and is the author or co-author of over 400 peer reviewed publications.

He is also a member of a number of international editorial boards, advisory groups and consults widely on health science matters.

Dr. Armstrong has received several awards, including the Research Achievement Award of the Canadian Cardiovascular Society, Heart and Stroke Foundation Award of Merit, Robert Beamish Leadership Award, Prix Galien Canada Research Award, and University of Alberta Kaplan Award for Excellence in Research.

Recent ACS Guidelines and Implications for Practice

Sunday, March 16, 2008
4:30 PM

Download Dr. Armstrong’s complete slide set [18.7 MB PPT].
Download Dr. Armstrong’s featured preconference slides [1.40 MB PDF].

The ACC/AHA practice guidelines addressing ST elevation myocardial infarction in 2004 had a profound impact on the practice of cardiovascular medicine. They were developed in collaboration with the Canadian Cardiovascular Society and the Society subsequently elaborated a Canadian perspective. The guidelines articulated an important triangle formed by timely reperfusion, novel pharmacologic regimens, and the role of mechanical revascularization. Several major new clinical trials have emerged since the 2004 guidelines were established, promoting a focused update available for the first time in December of 2007. This presentation will focus on new evidence on aspects of pharmacologic and mechanical reperfusion that have informed the 2007 update and are directly applicable to contemporary clinical practice.

References

1. Antman EM, Anbe DT, Armstrong PW, Bates ER, Green LA, Hand M, Hochman JS, Krumholz HM, Kushner FG, Lamas GA, Mullany CJ, Ornato JP, Pearle DL, Sloan MA, Smith SC Jr, Alpert JS, Anderson JL, Faxon DP, Fuster V, Gibbons RJ, Gregoratos G, Halperin JL, Hiratzka LF, Hunt SA, Jacobs AK, Ornato JP. “ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines for the Management of patients with acute myocardial infarction).” J Am Coll Cardiol 2004; 44(3): E1-E211 and Circulation 2004; 110(9): e82-292. Available online at the ACC at www.acc.org/qualityandscience/clinical/guidelines/stemi/STEMIFullText.pdf
2. Armstrong PW, Bogaty P, Buller CE, Dorian P, O’Neill BJ. “The 2004 ACC/AHA Guidelines: A perspective and adaption for Canada by the Canadian Cardiovascular Society Working Group.” Can J Cardiol 2004; 20(11): 1075-1079.
3. Antman EM, Hand M, Armstrong PW, Bates ER, Green LA, Halasyamani LK, Hochman JS, Krumholz HM, Lamas GA, Mullany CJ, Pearle DL, Sloan MA, Smith SC Jr. “2007 focused update of the ACC/AHA Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Group to Review New Evidence and Update the ACC/AHA 2004 Guidelines for the Management of Patients with ST-Elevation Myocardial Infarction).” J Am Coll Cardiol 2008; 117: 296-329 and Circulation 2008; 117: 296-329. Available online at http://content.onlinejacc.org/cgi/content/full/j.jacc.2007.10.001 and
   http://circ.ahajournals.org/cgi/reprint/CIRCULATIONAHA.107.188209.
4. Kiernan MS, Kuvin JT. “ACC/AHA 2007 STEMI Focused Update Slide Set. Based on the ACC/AHA 2007 Focused Update of the Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction (STEMI).” Available online at http://www.americanheart.org/presenter.jhtml?identifier=3052304.